HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��
IPermit Number:
Building permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENTLOCATI.ON: -
Address: oZ �Z�c2�� , Port Pierce 34959
Legal Description: Part of 1301-111-0001-00015-Spanish Lakes Country Club Village
Property Tax ID#: Lot No_
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: ;
DETAILED DESCRIPTION OF WORK:'
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Demolition of mobile home
CONSTRUCTION INFORMATION
itiona wor to {ewe{ orme under this permit—check all that appy:
❑HVAC LJ Gas Tank Gas Piping _Shutters (]Windows Doors
❑ p g L_.1 /
Electric Plumbing 05prinklers ❑Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1511-3-001e:1 Utilities: Sewer Septic Building Height:
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OWNER/LESSEE: CONTRACTOR
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Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St.Lucie State:FL Address: 8000 South US 1,Suite 402
Zip Code: 34952 Fax:772-878-0224 City: Port St Lucie State:'FL
Phone No.772-878-5593 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc_com Phone No. 772`878-5513
Fill In fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com
from the Owner listed above) State or County License: CGC035999
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SL�PPLEM- EN,TAL CONSTRU;CT►(►N.LIEIU tAW 1MF0RMATION-
DESIGNERANGINEER: —Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State_
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: TNot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-reside " I use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your payin ice for
improvements to your property.A Notice of Commencement must be recorded and po ted o the jobsite
before the first inspection. If you inten to pbtain financing,consult with lender or a or y before .
commencing work or recording No ' e of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL Loch COUNTY OF st Lude
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'd ,day 20 V_-J_by this�day of t e ch��... . .20 V) by
Mai#}tEKr LyFe wynrt<'d•- Mafth—Lyle Wynne
(Name of peri cknowledging/) (Name of per qn acknowledging)
r(8ignature of Notary Public-State of FI a) 5ign (e of Notary Public-State of Ida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of identscation Produced
>p'a�'•, SUSA E Commission N
Commission No. :a1•••••�,-; �.
COMfv1lSSF187647 SUSAN MAGES
• EXPIRES:February 23,2019 = MY C4hAMlSSIQN#FF1876 7
a+ ti EXPIRES:February 23,2019
Revised 07JIS/2014
>,q^� Bonded Tine Notary Public Underwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'
COMPLETE
INITIALS
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Planning&Development services ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor
November 28, 2017
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE j
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
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RE: Building Permit Number 1711-0648
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
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Signature
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Date
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11/28/2017 11:35:47 AM